Individual
AZHAR BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
6278 DWIGHT ST, DEARBORN HEIGHTS, MI 48127-3924
(313) 971-7499
Mailing address
6278 DWIGHT ST, DEARBORN HEIGHTS, MI 48127-3924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
470431491
MI
363LF0000X
Family Nurse Practitioner
4704314915
MI
Other
Enumeration date
09/01/2020
Last updated
02/10/2021
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